Ignite Creation Date:
2024-10-26 @ 3:37 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06552897
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-08-05
Brief Title:
Efficacy of Combined Adductor and Tibial Nerve Blocks for Pain Management in Knee Arthroplasty
Sponsor:
None
Organization:
None
Study Overview
Official Title:
A Randomized Controlled Trial Investigating the Efficacy of Combined Adductor Canal and Tibial Nerve Blocks for Enhanced Postoperative Pain Management in Knee Arthroplasty
Status:
COMPLETED
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CATNAP
Brief Summary:
This study aims to explore methods for enhancing pain relief following knee replacement surgery a prevalent procedure for individuals with severe knee arthritis Effective postoperative pain management is essential for ensuring a swift and comfortable recovery Traditional pain management methods often involve medications that may have side effects therefore this study examines alternative approaches utilizing nerve blocks
Two pain management methods are compared in this study
Adductor Canal Block ACB Alone A technique that numbs the anterior and medial regions of the knee
Combined Adductor Canal Block and Selective Tibial Nerve Block ACB STNB An innovative approach that includes an additional block to numb the posterior aspect of the knee
The objective is to determine whether the combined approach offers superior pain relief reduces the reliance on pain medications and enhances overall postoperative recovery Participants are randomly assigned to one of the two groups and receive the nerve blocks during their surgery
This study aspires to contribute to the development of improved pain management strategies facilitating quicker and more comfortable recovery for patients undergoing knee replacement surgery
Two pain management methods are compared in this study
Adductor Canal Block ACB Alone A technique that numbs the anterior and medial regions of the knee
Combined Adductor Canal Block and Selective Tibial Nerve Block ACB STNB An innovative approach that includes an additional block to numb the posterior aspect of the knee
The objective is to determine whether the combined approach offers superior pain relief reduces the reliance on pain medications and enhances overall postoperative recovery Participants are randomly assigned to one of the two groups and receive the nerve blocks during their surgery
This study aspires to contribute to the development of improved pain management strategies facilitating quicker and more comfortable recovery for patients undergoing knee replacement surgery
Detailed Description:
Total knee arthroplasty TKA or knee replacement surgery is a highly effective treatment for severe knee arthritis providing significant pain relief and improved joint function However managing postoperative pain remains a significant challenge Effective pain control is essential for facilitating early mobilization reducing complications and enhancing overall recovery
Traditional pain management often relies heavily on opioids which can cause side effects such as nausea dizziness and dependency To address these concerns regional anesthesia techniques including nerve blocks are increasingly utilized to provide targeted pain relief while minimizing opioid use
This study evaluates the effectiveness of two nerve block techniques in managing postoperative pain following TKA
Adductor Canal Block ACB This technique targets nerves in the adductor canal primarily affecting the saphenous nerve which provides sensation to the anterior and medial regions of the knee ACB is recognized for preserving muscle strength thereby facilitating early mobility
Combined Adductor Canal Block and Selective Tibial Nerve Block ACB STNB This approach incorporates a tibial nerve block to address the posterior aspect of the knee aiming to provide comprehensive pain relief to both the anterior and posterior regions of the knee
The study is a prospective randomized controlled trial involving 76 patients undergoing TKA at Health Sciences University Ankara City Hospital Participants are randomly assigned to receive either the ACB alone or the combined ACB STNB
Objectives
To assess the effectiveness of the combined ACB STNB in reducing postoperative pain compared to ACB alone
To evaluate the impact on opioid consumption and overall patient satisfaction To monitor potential side effects and the time to first additional analgesic requirement
Methods
Pain is measured using the Visual Analog Scale VAS at multiple time points after surgery
The study also records total analgesic consumption via patient-controlled analgesia PCA
Secondary outcomes include side effects and patient satisfaction scores The findings of this study could influence future pain management strategies for knee replacement surgeries potentially offering patients a safer and more effective method for managing postoperative pain with fewer side effects
Traditional pain management often relies heavily on opioids which can cause side effects such as nausea dizziness and dependency To address these concerns regional anesthesia techniques including nerve blocks are increasingly utilized to provide targeted pain relief while minimizing opioid use
This study evaluates the effectiveness of two nerve block techniques in managing postoperative pain following TKA
Adductor Canal Block ACB This technique targets nerves in the adductor canal primarily affecting the saphenous nerve which provides sensation to the anterior and medial regions of the knee ACB is recognized for preserving muscle strength thereby facilitating early mobility
Combined Adductor Canal Block and Selective Tibial Nerve Block ACB STNB This approach incorporates a tibial nerve block to address the posterior aspect of the knee aiming to provide comprehensive pain relief to both the anterior and posterior regions of the knee
The study is a prospective randomized controlled trial involving 76 patients undergoing TKA at Health Sciences University Ankara City Hospital Participants are randomly assigned to receive either the ACB alone or the combined ACB STNB
Objectives
To assess the effectiveness of the combined ACB STNB in reducing postoperative pain compared to ACB alone
To evaluate the impact on opioid consumption and overall patient satisfaction To monitor potential side effects and the time to first additional analgesic requirement
Methods
Pain is measured using the Visual Analog Scale VAS at multiple time points after surgery
The study also records total analgesic consumption via patient-controlled analgesia PCA
Secondary outcomes include side effects and patient satisfaction scores The findings of this study could influence future pain management strategies for knee replacement surgeries potentially offering patients a safer and more effective method for managing postoperative pain with fewer side effects
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None